Southmore Dental PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTHMORE DENTAL PA

Practice address

905 Southmore Ave
Pasadena, TX 77502-1113

Phone

(713) 473-7223

NPI assigned

May 9, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Linda Tran

Title

Manager

Phone

(713) 473-7223

Specialties & licenses 1

Addresses

Other names 1

• Southmore Dental Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1992495485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SOUTHMORE AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775021113",
            "telephone_number": "713-473-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SOUTHMORE AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775021113",
            "telephone_number": "713-473-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHMORE DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-473-7223"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southmore Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southmore Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.